Individual
ANGELA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
440 OLD HOOK RD, EMERSON, NJ 07630-2302
(201) 358-0707
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00352900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2017
Last updated
07/30/2021
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